2006 proposed fee schedule - American Society of Clinical Oncology

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retain its current exception rate (and puts that decision in
writing), that decision cannot be subsequently rescinded or
reversed.
● Current paragraph (k) would be removed.
● Current paragraph (l) would be redesignated as
proposed paragraph (j)
● Current paragraph (m) would be redesignated as
proposed paragraph (k). In the past, a pediatric facility
denied an exception rate would have to wait until a
subsequent exception window opened to file a new request.
We are proposing to revise redesignated paragraph (m) to
state that a pediatric ESRD facility that has been denied an
exception rate may immediately file another exception
request. Any subsequent exception request would be required
to address and document the issues cited in our denial
letter.
(2) Proposed Revisions to §413.182 (Criteria for approval
of exception requests)
We propose to revise this section to state that CMS may
approve exceptions to a pediatric ESRD facility's
prospective payment rate if the pediatric facility did not
have an approved exception rate as of October 1, 2002.
The proposed revised section would also state that the
pediatric facility would be required to demonstrate, by
convincing objective evidence, that its total per treatment